SUSAN SMITH (NPI# 1023082625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023082625 |
| Entity Type | Individual |
| Full Name | SUSAN SMITH |
| Credential | MD |
| Practice Address |
89 Summers Way Roanoke VA 24019-8291 |
| Mailing Address |
6305 Hamlet Trl Roanoke VA 24018-7790 |
| Practice Telephone | 5409921251 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101-058352 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407347297 | Susan Banuelos Smith | Dietitian, Registered | 3801 W 15th St Ste 214, Plano, TX 75075 | 2018-05-29 |
| 1447751870 | Susan Allen Smith | Registered Nurse | 1210 Terrace Dr, Mesquite, TX 75150-4284 | 2018-02-21 |
| 1326585407 | Susan A Smith | Nutritionist | 1114 Hidden Spring Dr, Naperville, IL 60540-4112 | 2017-01-26 |
| 1588115067 | Susan Smith | Counselor | 8491 N. Lake Blvd., Kings Beach, CA 96143 | 2016-10-19 |
| 1508316712 | Susan Taylor Smith | Speech-Language Pathologist | 120 Brundage Ter, Hot Springs, AR 71913-9348 | 2016-10-12 |
| 1326595075 | Susan Smith | Physical Therapist | 1115 E Hampton Dr, Pearland, TX 77584-7620 | 2016-09-09 |
| 1740656115 | Susan Smith | Counselor | 108089 S 4670 Rd, Sallisaw, OK 74955-8587 | 2015-08-19 |
| 1902282734 | Susan Smith | Physical Therapist | 4 Carville Ave, Lexington, MA 02421-6212 | 2015-08-04 |
| 1790173110 | Susan Smith | Speech-Language Pathologist | 301 Haig Dr, Wilmington, NC 28412-7134 | 2015-01-07 |
| 1598180218 | Susan Smith I | Counselor | 2819 Teasdale Dr, Troy, MI 48083-2657 | 2014-03-04 |
| Street Address |
89 SUMMERS WAY |
| City | ROANOKE |
| State | VA |
| Zip Code | 24019-8291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922071869 | Arthur Kunkle | Pediatrics | 89 Summers Way, Roanoke, VA 24019-8291 | 2006-02-10 |
| 1508830100 | John Moore | Pediatrics | 89 Summers Way, Roanoke, VA 24019-8291 | 2006-02-13 |
| 1053385658 | Michael Meyer | Pediatrics | 89 Summers Way, Roanoke, VA 24019-8291 | 2006-02-13 |
| 1376516146 | Christopher Pierce | Pediatrics | 89 Summers Way, Roanoke, VA 24019-8291 | 2006-02-10 |
| 1508839374 | Douglas Althouse | Pediatrics | 89 Summers Way, Roanoke, VA 24019-8291 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1235785114 | Amy M. Tharp | Pathology | 6600 Northside High School Rd., Roanoke, VA 24019 | 2019-08-15 |
| 1821586892 | Emtech Laboratories Inc. | Hearing Aid Equipment | 7745 Garland Circle, Roanoke, VA 24019 | 2018-04-25 |
| 1518471176 | Catherine Backus | Music Therapist | 8231 Williamson Rd, Roanoke, VA 24019 | 2017-11-18 |
| 1023475597 | Emily Howel; | Physical Therapy Assistant | 345 Bryant Rd, Roanoke, VA 24019 | 2016-01-28 |
| 1194060541 | St. Vincent's Home, Inc. | Day Training, Developmentally Disabled Services | 312 Whitwell Drive, Roanoke, VA 24019 | 2012-12-11 |
| 1215237946 | Wal-mart Stores East Lp | Technician/Technologist | 5350 Clearbrook Village Lane, Roanoke, VA 24019 | 2010-10-28 |
| 1396063160 | Affiliated Rehab, P.C. | Physical Therapist | 5012 Plantation Rd, Roanoke, VA 24019 | 2010-05-04 |
| 1952562811 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4802 Northridge Lane, Roanoke, VA 24019 | 2008-06-23 |
| 1487732673 | Family Preservation Services, Inc | Community/Behavioral Health | 2002 Dale Ave, Roanoke, VA 24019 | 2006-11-02 |
| Find all providers in zip 24019 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407302847 | Elia Boles | Pediatrics | Carilion Clinic Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2016-08-26 |
| 1366715070 | Paul Elwood Bowles | Pediatrics | 5508 Village Drive, Roanoke, VA 24018-8773 | 2012-02-13 |
| 1881867646 | Silvia Natalia Jaimes Ocazionez | Pediatrics | 1030 S Jefferson St Ste 106, Roanoke, VA 24016-4418 | 2008-04-11 |
| 1508078635 | Nadia Gaafar Gard | Pediatrics | 4910 Valley View Blvd N W, Suite 310, Roanoke, VA 24012 | 2007-05-03 |
| 1497711345 | Theresa Ann Mutzig-erwin | Pediatrics | 516 E Byron Nelson Blvd, Roanoke, TX 76262-6295 | 2006-04-20 |
| 1922071869 | Arthur Kunkle | Pediatrics | 89 Summers Way, Roanoke, VA 24019-8291 | 2006-02-10 |
| 1942272273 | Mandy Atkinson | Pediatrics | 1906 Belleview Ave, Roanoke, VA 24014 | 2006-02-02 |
| 1548241086 | Maria R Soriano | Pediatrics | 1215 3rd St Sw, Roanoke, VA 24016-4611 | 2005-11-10 |
| 1700877404 | Floyd Randell Burton | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013-2218 | 2005-11-02 |
| 1508864638 | Alise Magnuson | Pediatrics | 4615 Huntridge Rd, Roanoke, VA 24012-8510 | 2005-07-12 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.